The Assignment
- Analyze the subjective portion of the note. List additional information that should be included in the documentation.
- Analyze the objective portion of the note. List additional information that should be included in the documentation.
- Is the assessment supported by the subjective and objective information? Why or why not?
- What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
- Would you reject/accept the current diagnosis? Why or why not? Identify five possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
In this Assessment 1 Assignment:
You will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting.
You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted.
You will also formulate a differential diagnosis with several possible conditions.
Review the following Episodic note case study for this Assignment: See Below
Assessment of the Abdomen and
Gastrointestinal System
ABDOMINAL ASSESSMENT:
Subjective:
• CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
• HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started
3 days ago. He has not taken any medications because he did not know what to
take. He states the pain is a 5/10 today but has been as much as 9/10 when it
first started. He has been able to eat, with some nausea afterwards.
• PMH: HTN, Diabetes, hx of GI bleed 4 years ago
• Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10
units qhs
• Allergies: NKDA
• FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN,
Hyperlipidemia, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
• VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Skin: Intact without lesions, no urticaria
• Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
• Diagnostics: None
Assessment:
• Left lower quadrant pain
• Gastroenteritis
PLAN:
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Assessment 5 Class 11
/in Uncategorized /by developersee attached
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Assessment 6 Class 11
/in Uncategorized /by developersee attached
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Assessment For Health Promotion 19227507
/in Uncategorized /by developerPurpose
This week’s graded topics relate to the following Course Outcomes (COs).
The Assignment
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to “keep her going.” She lives 1 hour from campus and commutes each day, and often drinks diet cola to “stay awake.” When asked what she does to relax and de-stress, Maria states she “doesn’t even have time to think about that.”
Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90
Using the lesson and text as your guide, answer the following questions.
Remember to use and credit the textbook or lesson, as well as an outside scholarly source, for full credit.
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Assessment For Health Promotion 19481289
/in Uncategorized /by developerDiscussion
As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to “keep her going.” She lives 1 hour from campus and commutes each day, and often drinks diet cola to “stay awake.” When asked what she does to relax and de-stress, Maria states she “doesn’t even have time to think about that.”
Maria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90
Using the lesson and text as your guide, answer the following questions.
Remember to use and credit the textbook or lesson, as well as an outside scholarly source, for full credit.
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Assessment For Health Promotion
/in Uncategorized /by developerMaria’s vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90
Using the lesson and text as your guide, answer the following questions.
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Assessment Health Screening
/in Uncategorized /by developerDetails:
In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:
Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.
Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.
Complete the assignment as outlined on the worksheet, including:
Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to Turnitin.
NRS-434VN-R-HealthScreeningandHistoryAdolescentAssignment-Student.docx
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Assessment Of A 19 Year Old Female
/in Uncategorized /by developerYou are admitting a 19-year old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.
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Assessment Of Hamstring Injury Among Rugby Players Diagnosis And Return To Play Formula For A Low Grade Soft Tissue 19413241
/in Uncategorized /by developerMethod and Research Method & Design Appropriateness
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Assessment Of Painskinhair And Nails
/in Uncategorized /by developerAssessment of Pain;Skin,hair and nails.
a. Outline the steps involved in investigating pain as a present problem.
b. List cultural considerations when taking a history and performing a physical examination related to pain.
Mr. Hannigan is a 48-year-old man who presents to the emergency department with a complaint of headache that has not been relieved in 3 days. He now complains of visual disturbance and an inability to concentrate.
1. Describe the key indications when taking the blood pressure.
2. Describe the correct cuff size for a patient.
3. What signs and symptoms beside an elevated blood pressure would you expect the patient to exhibit?
Which structure and its physiologic properties protect against microbial and foreign substance invasion and minor physical trauma?
How is hair formed, and what are its components?
Which type of cells are nails, and into what will these cells convert?
Contrast differences between basal cell carcinoma, squamous cell carcinoma, malignant melanoma, and Kaposi sarcoma.
Describe the expected clinical manifestations of each condition. :
Primary lesions
a. Macule
b. Papule
c. Nevi
d. Patch
e. Plaque
f. Wheal
g. Nodule
h. Tumor
i. Vesicle
j. Bulla
k. Pustule
l. Cyst
m. Vitiligo
n. Rhinophyma
o. Genital herpes
Secondary lesions
a. Scale
b. Lichenification
c. Keloid
d. Scar
e. Excoriation
f. Fissure
g. Erosion
h. Ulcer
i. Crust
j. Atrophy
JK is a 44-year-old white woman with a 2-year history of psoriasis. Her family history includes her father with allergies and asthma and her mother with psoriasis. JK returns today for an increase in symptoms, and she wants to improve the appearance of her skin.
1. What is the underlying cause of psoriasis?
2. What are the common signs and symptoms of this disease?
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Assessment Of The Abdomen And Gastrointestinal System
/in Uncategorized /by developerThe Assignment
In this Assessment 1 Assignment:
You will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting.
You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted.
You will also formulate a differential diagnosis with several possible conditions.
Review the following Episodic note case study for this Assignment: See Below
Assessment of the Abdomen and
Gastrointestinal System
ABDOMINAL ASSESSMENT:
Subjective:
• CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
• HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started
3 days ago. He has not taken any medications because he did not know what to
take. He states the pain is a 5/10 today but has been as much as 9/10 when it
first started. He has been able to eat, with some nausea afterwards.
• PMH: HTN, Diabetes, hx of GI bleed 4 years ago
• Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10
units qhs
• Allergies: NKDA
• FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN,
Hyperlipidemia, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
• VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Skin: Intact without lesions, no urticaria
• Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
• Diagnostics: None
Assessment:
• Left lower quadrant pain
• Gastroenteritis
PLAN:
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